Neurology
- Leriche syndrome
Physical examination revealed pallor of the toes, cold extremities, dry skin, and absence of bilateral femoral pulses. The patient also disclosed erectile dysfunction.
- An 86-year-old man with unexplained right-sided headache and vision loss
Steroid treatment for suspected giant cell arteritis brought no improvement in vision or headache severity.
- Autoimmune brain disease: Think before testing
Immune serologic tests are not specific for any defined clinical diagnosis and thus should not be used to drive therapeutic decisions.
- Antibody-mediated autoimmune encephalitis: A practical approach
Symptoms may include subacute, progressive neuropsychiatric symptoms with associated cognitive dysfunction, movement disorders, and autoimmune seizures.
- Aspiration of a partial denture after an ischemic stroke
A bedside evaluation inaccurately led to the conclusion that it was safe to advance to a dysphagia diet.
- Promoting physical activity in older women to maximize health
The optimal type, intensity, and level required to achieve specific health outcomes depend on the disease the patient and clinician are trying to prevent or manage.
- Quetiapine for primary insomnia: Consider the risks
Its cardiometabolic effects and potential for abuse warrant caution in off-label use.
- Crowned dens syndrome: Caution about asymptomatic calcification
An 88-year-old man developed fever, headache, and posterior neck pain resistant to initial therapy.
- Calcium pyrophosphate deposition and crowned dens syndrome
Patients are typically over age 65, often with significant leukocytosis and dramatically elevated inflammatory markers.